%0 Journal Article %T Changes in Sexuality of Castration-Resistant Prostate Cancer Patients under Hormone Therapy in Japan: A Case Study %A Shige Kakinohan %A Yoshiyuki Kashiwagi %J - %D 2016 %R 10.14710/nmjn.v6i2.9901 %X Background: Hormone therapy is an important treatment for male patients with prostate cancer. However, it can produce changes in the genitalia and sexuality of the patients. Purpose: This study aimed to investigate the relations between changes in male genitalia and sexuality in the castration-resistant prostate cancer patients. It also proposed concrete interventions to ease pain and fear towards body image changes. Methods: This study used a descriptive qualitative design. The subjects were two castration-resistant prostate cancer patients undergoing chemotherapy and endocrine therapy. The data were collected through semi-structured interviews and analyzed using verbatim reports and content analysis. Results: The study indicated that the effects of hormone therapy treatment on the sexuality were largely categorized as: ¡°surprises and anxieties about the shrinkage of male genitalia¡±, ¡°masculinity loss¡±, ¡°difficulty adapting the situation¡±, and ¡°connection with others¡±. Conclusion: It became clear that the prostate cancer patients had pains not only for prognosis, but also for physical changes, relationship changes with others and sexuality changes through their treatments %K Prostate cancer %K chemotherapy %K hormone therapy %K sexuality %U https://ejournal.undip.ac.id/index.php/medianers/article/view/9901